The Psychiatric Medicine Institute of la LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE PSYCHIATRIC MEDICINE INSTITUTE OF LA LLC

Practice address

850 Kaliste Saloom Rd
Ste 115
Lafayette, LA 70508-4230

Phone

(337) 264-1991

Fax

(337) 264-1993

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Houma Dixon Bowers III, MDNPI 1407888704

Title

Owner

Phone

(337) 264-1991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Houma Dixon Bowers III, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1407888704
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1023047776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD",
            "address_2": "STE 115",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-264-1991",
            "fax_number": "337-264-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD",
            "address_2": "STE 115",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-264-1991",
            "fax_number": "337-264-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PSYCHIATRIC MEDICINE INSTITUTE OF LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HOUMA DIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-264-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.